Personal Training Signup Form

Before I can accept you as a client, I need some information about you. Please fill out this form as completely as possible! Help me help you. 🙂

Contact Info

Name*

**Applicants under 18 years old MUST have parent / guardian permission to schedule a session!**

FirstLast

Age*

Address*

Street AddressCityZIP / Postal CodeCountry

Email*

IM / Chat Program?*

My online consultations and training sessions are all conducted LIVE via video chat. You should have a fast DSL or cable-based internet connection, and one of the three video chat programs listed below:

Choose your Training

Here you can choose the type of training you'd like to participate in, and how often you'd like to train.

Training Type

Consultation*

In order for me to create an exercise program based on your individual needs, an initial consultation is required. If you live within 50 km of the Stuttgart area, I strongly recommend that we meet in person; otherwise, the initial consultation will be conducted online via video chat. The details of the initial consultation will be coordinated via email.

In person

Video chat

How did you hear about me?

Permission*

I agree to allow my data to be used for informational and statistical purposes as described in the Privacy Policy.